ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual |
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Diagnosis Code/MDC/MS-DRG Index |
Page 64 of 75 |
A000 B2781 C5712 C8418 D3002 E093219 E133599 F18251 G9204 H18811 H47529 I2541 I69315 J3503 K5731 L812 M05539 M21069 M45A7 M7070 M84444P M86559 N158 O0380 O3130X1 O365133 O6023X0 P2889 Q738 S0005XS S02610G S06384S S12400D S20374D S24144D S31149D S32443D S36209D S41119A S42354A S45012D S52001S S52244P S52389Q S53421A S59149K S61240D S62225A S62615D S63298D S66190D S71102D S72064P S7221XC S72412K S75192S S82009N S82192P S82444Q S8291XP S8700XD S91204D S92301D S93526S S99249B T22422D T24439A T370X5A T43013S T474X5S T5492XD T65292D T82111D T8613 Z808 |
DX | MDC | MS-DRG | DX | MDC | MS-DRG | DX | MDC | MS-DRG | ||
---|---|---|---|---|---|---|---|---|---|---|
S93526S | 08 | 562-563 | S96199S | 21 | 913-914 | S99019K | 23 | 949-950 | ||
S93529A | 08 | 562-563 | S96201A | 21 | 913-914 | S99019P | 23 | 949-950 | ||
S93529A | 24 | 963-965 | S96201A | 24 | 963-965 | S99019S | 21 | 913-914 | ||
S93529D | 23 | 949-950 | S96201D | 23 | 949-950 | S99021A | 21 | 913-914 | ||
S93529S | 08 | 562-563 | S96201S | 21 | 913-914 | S99021A | 24 | 963-965 | ||
S93601A | 08 | 562-563 | S96202A | 21 | 913-914 | S99021B | 21 | 913-914 | ||
S93601A | 24 | 963-965 | S96202A | 24 | 963-965 | S99021B | 24 | 963-965 | ||
S93601D | 23 | 949-950 | S96202D | 23 | 949-950 | S99021D | 23 | 949-950 | ||
S93601S | 08 | 562-563 | S96202S | 21 | 913-914 | S99021G | 23 | 949-950 | ||
S93602A | 08 | 562-563 | S96209A | 21 | 913-914 | S99021K | 23 | 949-950 | ||
S93602A | 24 | 963-965 | S96209A | 24 | 963-965 | S99021P | 23 | 949-950 | ||
S93602D | 23 | 949-950 | S96209D | 23 | 949-950 | S99021S | 21 | 913-914 | ||
S93602S | 08 | 562-563 | S96209S | 21 | 913-914 | S99022A | 21 | 913-914 | ||
S93609A | 08 | 562-563 | S96211A | 08 | 562-563 | S99022A | 24 | 963-965 | ||
S93609A | 24 | 963-965 | S96211A | 24 | 963-965 | S99022B | 21 | 913-914 | ||
S93609D | 23 | 949-950 | S96211D | 23 | 949-950 | S99022B | 24 | 963-965 | ||
S93609S | 08 | 562-563 | S96211S | 08 | 562-563 | S99022D | 23 | 949-950 | ||
S93611A | 08 | 562-563 | S96212A | 08 | 562-563 | S99022G | 23 | 949-950 | ||
S93611A | 24 | 963-965 | S96212A | 24 | 963-965 | S99022K | 23 | 949-950 | ||
S93611D | 23 | 949-950 | S96212D | 23 | 949-950 | S99022P | 23 | 949-950 | ||
S93611S | 08 | 562-563 | S96212S | 08 | 562-563 | S99022S | 21 | 913-914 | ||
S93612A | 08 | 562-563 | S96219A | 08 | 562-563 | S99029A | 21 | 913-914 | ||
S93612A | 24 | 963-965 | S96219A | 24 | 963-965 | S99029A | 24 | 963-965 | ||
S93612D | 23 | 949-950 | S96219D | 23 | 949-950 | S99029B | 21 | 913-914 | ||
S93612S | 08 | 562-563 | S96219S | 08 | 562-563 | S99029B | 24 | 963-965 | ||
S93619A | 08 | 562-563 | S96221A | 08 | 564-566 | S99029D | 23 | 949-950 | ||
S93619A | 24 | 963-965 | S96221A | 24 | 963-965 | S99029G | 23 | 949-950 | ||
S93619D | 23 | 949-950 | S96221D | 23 | 949-950 | S99029K | 23 | 949-950 | ||
S93619S | 08 | 562-563 | S96221S | 09 | 604-605 | S99029P | 23 | 949-950 | ||
S93621A | 08 | 562-563 | S96222A | 08 | 564-566 | S99029S | 21 | 913-914 | ||
S93621A | 24 | 963-965 | S96222A | 24 | 963-965 | S99031A | 21 | 913-914 | ||
S93621D | 23 | 949-950 | S96222D | 23 | 949-950 | S99031A | 24 | 963-965 | ||
S93621S | 08 | 562-563 | S96222S | 09 | 604-605 | S99031B | 21 | 913-914 | ||
S93622A | 08 | 562-563 | S96229A | 08 | 564-566 | S99031B | 24 | 963-965 | ||
S93622A | 24 | 963-965 | S96229A | 24 | 963-965 | S99031D | 23 | 949-950 | ||
S93622D | 23 | 949-950 | S96229D | 23 | 949-950 | S99031G | 23 | 949-950 | ||
S93622S | 08 | 562-563 | S96229S | 09 | 604-605 | S99031K | 23 | 949-950 | ||
S93629A | 08 | 562-563 | S96291A | 21 | 913-914 | S99031P | 23 | 949-950 | ||
S93629A | 24 | 963-965 | S96291A | 24 | 963-965 | S99031S | 21 | 913-914 | ||
S93629D | 23 | 949-950 | S96291D | 23 | 949-950 | S99032A | 21 | 913-914 | ||
S93629S | 08 | 562-563 | S96291S | 21 | 913-914 | S99032A | 24 | 963-965 | ||
S93691A | 08 | 562-563 | S96292A | 21 | 913-914 | S99032B | 21 | 913-914 | ||
S93691A | 24 | 963-965 | S96292A | 24 | 963-965 | S99032B | 24 | 963-965 | ||
S93691D | 23 | 949-950 | S96292D | 23 | 949-950 | S99032D | 23 | 949-950 | ||
S93691S | 08 | 562-563 | S96292S | 21 | 913-914 | S99032G | 23 | 949-950 | ||
S93692A | 08 | 562-563 | S96299A | 21 | 913-914 | S99032K | 23 | 949-950 | ||
S93692A | 24 | 963-965 | S96299A | 24 | 963-965 | S99032P | 23 | 949-950 | ||
S93692D | 23 | 949-950 | S96299D | 23 | 949-950 | S99032S | 21 | 913-914 | ||
S93692S | 08 | 562-563 | S96299S | 21 | 913-914 | S99039A | 21 | 913-914 | ||
S93699A | 08 | 562-563 | S96801A | 21 | 913-914 | S99039A | 24 | 963-965 | ||
S93699A | 24 | 963-965 | S96801A | 24 | 963-965 | S99039B | 21 | 913-914 | ||
S93699D | 23 | 949-950 | S96801D | 23 | 949-950 | S99039B | 24 | 963-965 | ||
S93699S | 08 | 562-563 | S96801S | 21 | 913-914 | S99039D | 23 | 949-950 | ||
S9400XA | 01 | 073-074 | S96802A | 21 | 913-914 | S99039G | 23 | 949-950 | ||
S9400XA | 24 | 963-965 | S96802A | 24 | 963-965 | S99039K | 23 | 949-950 | ||
S9400XD | 23 | 949-950 | S96802D | 23 | 949-950 | S99039P | 23 | 949-950 | ||
S9400XS | 01 | 091-093 | S96802S | 21 | 913-914 | S99039S | 21 | 913-914 | ||
S9401XA | 01 | 073-074 | S96809A | 21 | 913-914 | S99041A | 21 | 913-914 | ||
S9401XA | 24 | 963-965 | S96809A | 24 | 963-965 | S99041A | 24 | 963-965 | ||
S9401XD | 23 | 949-950 | S96809D | 23 | 949-950 | S99041B | 21 | 913-914 | ||
S9401XS | 01 | 091-093 | S96809S | 21 | 913-914 | S99041B | 24 | 963-965 | ||
S9402XA | 01 | 073-074 | S96811A | 08 | 562-563 | S99041D | 23 | 949-950 | ||
S9402XA | 24 | 963-965 | S96811A | 24 | 963-965 | S99041G | 23 | 949-950 | ||
S9402XD | 23 | 949-950 | S96811D | 23 | 949-950 | S99041K | 23 | 949-950 | ||
S9402XS | 01 | 091-093 | S96811S | 08 | 562-563 | S99041P | 23 | 949-950 | ||
S9410XA | 01 | 073-074 | S96812A | 08 | 562-563 | S99041S | 21 | 913-914 | ||
S9410XA | 24 | 963-965 | S96812A | 24 | 963-965 | S99042A | 21 | 913-914 | ||
S9410XD | 23 | 949-950 | S96812D | 23 | 949-950 | S99042A | 24 | 963-965 | ||
S9410XS | 01 | 091-093 | S96812S | 08 | 562-563 | S99042B | 21 | 913-914 | ||
S9411XA | 01 | 073-074 | S96819A | 08 | 562-563 | S99042B | 24 | 963-965 | ||
S9411XA | 24 | 963-965 | S96819A | 24 | 963-965 | S99042D | 23 | 949-950 | ||
S9411XD | 23 | 949-950 | S96819D | 23 | 949-950 | S99042G | 23 | 949-950 | ||
S9411XS | 01 | 091-093 | S96819S | 08 | 562-563 | S99042K | 23 | 949-950 | ||
S9412XA | 01 | 073-074 | S96821A | 08 | 564-566 | S99042P | 23 | 949-950 | ||
S9412XA | 24 | 963-965 | S96821A | 24 | 963-965 | S99042S | 21 | 913-914 | ||
S9412XD | 23 | 949-950 | S96821D | 23 | 949-950 | S99049A | 21 | 913-914 | ||
S9412XS | 01 | 091-093 | S96821S | 09 | 604-605 | S99049A | 24 | 963-965 | ||
S9420XA | 01 | 073-074 | S96822A | 08 | 564-566 | S99049B | 21 | 913-914 | ||
S9420XA | 24 | 963-965 | S96822A | 24 | 963-965 | S99049B | 24 | 963-965 | ||
S9420XD | 23 | 949-950 | S96822D | 23 | 949-950 | S99049D | 23 | 949-950 | ||
S9420XS | 01 | 091-093 | S96822S | 09 | 604-605 | S99049G | 23 | 949-950 | ||
S9421XA | 01 | 073-074 | S96829A | 08 | 564-566 | S99049K | 23 | 949-950 | ||
S9421XA | 24 | 963-965 | S96829A | 24 | 963-965 | S99049P | 23 | 949-950 | ||
S9421XD | 23 | 949-950 | S96829D | 23 | 949-950 | S99049S | 21 | 913-914 | ||
S9421XS | 01 | 091-093 | S96829S | 09 | 604-605 | S99091A | 21 | 913-914 | ||
S9422XA | 01 | 073-074 | S96891A | 21 | 913-914 | S99091A | 24 | 963-965 | ||
S9422XA | 24 | 963-965 | S96891A | 24 | 963-965 | S99091B | 21 | 913-914 | ||
S9422XD | 23 | 949-950 | S96891D | 23 | 949-950 | S99091B | 24 | 963-965 | ||
S9422XS | 01 | 091-093 | S96891S | 21 | 913-914 | S99091D | 23 | 949-950 | ||
S9430XA | 01 | 073-074 | S96892A | 21 | 913-914 | S99091G | 23 | 949-950 | ||
S9430XA | 24 | 963-965 | S96892A | 24 | 963-965 | S99091K | 23 | 949-950 | ||
S9430XD | 23 | 949-950 | S96892D | 23 | 949-950 | S99091P | 23 | 949-950 | ||
S9430XS | 01 | 091-093 | S96892S | 21 | 913-914 | S99091S | 21 | 913-914 | ||
S9431XA | 01 | 073-074 | S96899A | 21 | 913-914 | S99092A | 21 | 913-914 | ||
S9431XA | 24 | 963-965 | S96899A | 24 | 963-965 | S99092A | 24 | 963-965 | ||
S9431XD | 23 | 949-950 | S96899D | 23 | 949-950 | S99092B | 21 | 913-914 | ||
S9431XS | 01 | 091-093 | S96899S | 21 | 913-914 | S99092B | 24 | 963-965 | ||
S9432XA | 01 | 073-074 | S96901A | 21 | 913-914 | S99092D | 23 | 949-950 | ||
S9432XA | 24 | 963-965 | S96901A | 24 | 963-965 | S99092G | 23 | 949-950 | ||
S9432XD | 23 | 949-950 | S96901D | 23 | 949-950 | S99092K | 23 | 949-950 | ||
S9432XS | 01 | 091-093 | S96901S | 21 | 913-914 | S99092P | 23 | 949-950 | ||
S948X1A | 01 | 073-074 | S96902A | 21 | 913-914 | S99092S | 21 | 913-914 | ||
S948X1A | 24 | 963-965 | S96902A | 24 | 963-965 | S99099A | 21 | 913-914 | ||
S948X1D | 23 | 949-950 | S96902D | 23 | 949-950 | S99099A | 24 | 963-965 | ||
S948X1S | 01 | 091-093 | S96902S | 21 | 913-914 | S99099B | 21 | 913-914 | ||
S948X2A | 01 | 073-074 | S96909A | 21 | 913-914 | S99099B | 24 | 963-965 | ||
S948X2A | 24 | 963-965 | S96909A | 24 | 963-965 | S99099D | 23 | 949-950 | ||
S948X2D | 23 | 949-950 | S96909D | 23 | 949-950 | S99099G | 23 | 949-950 | ||
S948X2S | 01 | 091-093 | S96909S | 21 | 913-914 | S99099K | 23 | 949-950 | ||
S948X9A | 01 | 073-074 | S96911A | 08 | 562-563 | S99099P | 23 | 949-950 | ||
S948X9A | 24 | 963-965 | S96911A | 24 | 963-965 | S99099S | 21 | 913-914 | ||
S948X9D | 23 | 949-950 | S96911D | 23 | 949-950 | S99101A | 21 | 913-914 | ||
S948X9S | 01 | 091-093 | S96911S | 08 | 562-563 | S99101A | 24 | 963-965 | ||
S9490XA | 01 | 073-074 | S96912A | 08 | 562-563 | S99101B | 21 | 913-914 | ||
S9490XA | 24 | 963-965 | S96912A | 24 | 963-965 | S99101B | 24 | 963-965 | ||
S9490XD | 23 | 949-950 | S96912D | 23 | 949-950 | S99101D | 23 | 949-950 | ||
S9490XS | 01 | 091-093 | S96912S | 08 | 562-563 | S99101G | 23 | 949-950 | ||
S9491XA | 01 | 073-074 | S96919A | 08 | 562-563 | S99101K | 23 | 949-950 | ||
S9491XA | 24 | 963-965 | S96919A | 24 | 963-965 | S99101P | 23 | 949-950 | ||
S9491XD | 23 | 949-950 | S96919D | 23 | 949-950 | S99101S | 21 | 913-914 | ||
S9491XS | 01 | 091-093 | S96919S | 08 | 562-563 | S99102A | 21 | 913-914 | ||
S9492XA | 01 | 073-074 | S96921A | 08 | 564-566 | S99102A | 24 | 963-965 | ||
S9492XA | 24 | 963-965 | S96921A | 24 | 963-965 | S99102B | 21 | 913-914 | ||
S9492XD | 23 | 949-950 | S96921D | 23 | 949-950 | S99102B | 24 | 963-965 | ||
S9492XS | 01 | 091-093 | S96921S | 09 | 604-605 | S99102D | 23 | 949-950 | ||
S95001A | 21 | 913-914 | S96922A | 08 | 564-566 | S99102G | 23 | 949-950 | ||
S95001A | 24 | 963-965 | S96922A | 24 | 963-965 | S99102K | 23 | 949-950 | ||
S95001D | 23 | 949-950 | S96922D | 23 | 949-950 | S99102P | 23 | 949-950 | ||
S95001S | 05 | 299-301 | S96922S | 09 | 604-605 | S99102S | 21 | 913-914 | ||
S95002A | 21 | 913-914 | S96929A | 08 | 564-566 | S99109A | 21 | 913-914 | ||
S95002A | 24 | 963-965 | S96929A | 24 | 963-965 | S99109A | 24 | 963-965 | ||
S95002D | 23 | 949-950 | S96929D | 23 | 949-950 | S99109B | 21 | 913-914 | ||
S95002S | 05 | 299-301 | S96929S | 09 | 604-605 | S99109B | 24 | 963-965 | ||
S95009A | 21 | 913-914 | S96991A | 21 | 913-914 | S99109D | 23 | 949-950 | ||
S95009A | 24 | 963-965 | S96991A | 24 | 963-965 | S99109G | 23 | 949-950 | ||
S95009D | 23 | 949-950 | S96991D | 23 | 949-950 | S99109K | 23 | 949-950 | ||
S95009S | 05 | 299-301 | S96991S | 21 | 913-914 | S99109P | 23 | 949-950 | ||
S95011A | 21 | 913-914 | S96992A | 21 | 913-914 | S99109S | 21 | 913-914 | ||
S95011A | 24 | 963-965 | S96992A | 24 | 963-965 | S99111A | 21 | 913-914 | ||
S95011D | 23 | 949-950 | S96992D | 23 | 949-950 | S99111A | 24 | 963-965 | ||
S95011S | 05 | 299-301 | S96992S | 21 | 913-914 | S99111B | 21 | 913-914 | ||
S95012A | 21 | 913-914 | S96999A | 21 | 913-914 | S99111B | 24 | 963-965 | ||
S95012A | 24 | 963-965 | S96999A | 24 | 963-965 | S99111D | 23 | 949-950 | ||
S95012D | 23 | 949-950 | S96999D | 23 | 949-950 | S99111G | 23 | 949-950 | ||
S95012S | 05 | 299-301 | S96999S | 21 | 913-914 | S99111K | 23 | 949-950 | ||
S95019A | 21 | 913-914 | S9700XA | 21 | 913-914 | S99111P | 23 | 949-950 | ||
S95019A | 24 | 963-965 | S9700XA | 24 | 963-965 | S99111S | 21 | 913-914 | ||
S95019D | 23 | 949-950 | S9700XD | 23 | 949-950 | S99112A | 21 | 913-914 | ||
S95019S | 05 | 299-301 | S9700XS | 09 | 604-605 | S99112A | 24 | 963-965 | ||
S95091A | 21 | 913-914 | S9701XA | 21 | 913-914 | S99112B | 21 | 913-914 | ||
S95091A | 24 | 963-965 | S9701XA | 24 | 963-965 | S99112B | 24 | 963-965 | ||
S95091D | 23 | 949-950 | S9701XD | 23 | 949-950 | S99112D | 23 | 949-950 | ||
S95091S | 05 | 299-301 | S9701XS | 09 | 604-605 | S99112G | 23 | 949-950 | ||
S95092A | 21 | 913-914 | S9702XA | 21 | 913-914 | S99112K | 23 | 949-950 | ||
S95092A | 24 | 963-965 | S9702XA | 24 | 963-965 | S99112P | 23 | 949-950 | ||
S95092D | 23 | 949-950 | S9702XD | 23 | 949-950 | S99112S | 21 | 913-914 | ||
S95092S | 05 | 299-301 | S9702XS | 09 | 604-605 | S99119A | 21 | 913-914 | ||
S95099A | 21 | 913-914 | S97101A | 21 | 913-914 | S99119A | 24 | 963-965 | ||
S95099A | 24 | 963-965 | S97101A | 24 | 963-965 | S99119B | 21 | 913-914 | ||
S95099D | 23 | 949-950 | S97101D | 23 | 949-950 | S99119B | 24 | 963-965 | ||
S95099S | 05 | 299-301 | S97101S | 09 | 604-605 | S99119D | 23 | 949-950 | ||
S95101A | 21 | 913-914 | S97102A | 21 | 913-914 | S99119G | 23 | 949-950 | ||
S95101A | 24 | 963-965 | S97102A | 24 | 963-965 | S99119K | 23 | 949-950 | ||
S95101D | 23 | 949-950 | S97102D | 23 | 949-950 | S99119P | 23 | 949-950 | ||
S95101S | 05 | 299-301 | S97102S | 09 | 604-605 | S99119S | 21 | 913-914 | ||
S95102A | 21 | 913-914 | S97109A | 21 | 913-914 | S99121A | 21 | 913-914 | ||
S95102A | 24 | 963-965 | S97109A | 24 | 963-965 | S99121A | 24 | 963-965 | ||
S95102D | 23 | 949-950 | S97109D | 23 | 949-950 | S99121B | 21 | 913-914 | ||
S95102S | 05 | 299-301 | S97109S | 09 | 604-605 | S99121B | 24 | 963-965 | ||
S95109A | 21 | 913-914 | S97111A | 21 | 913-914 | S99121D | 23 | 949-950 | ||
S95109A | 24 | 963-965 | S97111A | 24 | 963-965 | S99121G | 23 | 949-950 | ||
S95109D | 23 | 949-950 | S97111D | 23 | 949-950 | S99121K | 23 | 949-950 | ||
S95109S | 05 | 299-301 | S97111S | 09 | 604-605 | S99121P | 23 | 949-950 | ||
S95111A | 21 | 913-914 | S97112A | 21 | 913-914 | S99121S | 21 | 913-914 | ||
S95111A | 24 | 963-965 | S97112A | 24 | 963-965 | S99122A | 21 | 913-914 | ||
S95111D | 23 | 949-950 | S97112D | 23 | 949-950 | S99122A | 24 | 963-965 | ||
S95111S | 05 | 299-301 | S97112S | 09 | 604-605 | S99122B | 21 | 913-914 | ||
S95112A | 21 | 913-914 | S97119A | 21 | 913-914 | S99122B | 24 | 963-965 | ||
S95112A | 24 | 963-965 | S97119A | 24 | 963-965 | S99122D | 23 | 949-950 | ||
S95112D | 23 | 949-950 | S97119D | 23 | 949-950 | S99122G | 23 | 949-950 | ||
S95112S | 05 | 299-301 | S97119S | 09 | 604-605 | S99122K | 23 | 949-950 | ||
S95119A | 21 | 913-914 | S97121A | 21 | 913-914 | S99122P | 23 | 949-950 | ||
S95119A | 24 | 963-965 | S97121A | 24 | 963-965 | S99122S | 21 | 913-914 | ||
S95119D | 23 | 949-950 | S97121D | 23 | 949-950 | S99129A | 21 | 913-914 | ||
S95119S | 05 | 299-301 | S97121S | 09 | 604-605 | S99129A | 24 | 963-965 | ||
S95191A | 21 | 913-914 | S97122A | 21 | 913-914 | S99129B | 21 | 913-914 | ||
S95191A | 24 | 963-965 | S97122A | 24 | 963-965 | S99129B | 24 | 963-965 | ||
S95191D | 23 | 949-950 | S97122D | 23 | 949-950 | S99129D | 23 | 949-950 | ||
S95191S | 05 | 299-301 | S97122S | 09 | 604-605 | S99129G | 23 | 949-950 | ||
S95192A | 21 | 913-914 | S97129A | 21 | 913-914 | S99129K | 23 | 949-950 | ||
S95192A | 24 | 963-965 | S97129A | 24 | 963-965 | S99129P | 23 | 949-950 | ||
S95192D | 23 | 949-950 | S97129D | 23 | 949-950 | S99129S | 21 | 913-914 | ||
S95192S | 05 | 299-301 | S97129S | 09 | 604-605 | S99131A | 21 | 913-914 | ||
S95199A | 21 | 913-914 | S9780XA | 21 | 913-914 | S99131A | 24 | 963-965 | ||
S95199A | 24 | 963-965 | S9780XA | 24 | 963-965 | S99131B | 21 | 913-914 | ||
S95199D | 23 | 949-950 | S9780XD | 23 | 949-950 | S99131B | 24 | 963-965 | ||
S95199S | 05 | 299-301 | S9780XS | 09 | 604-605 | S99131D | 23 | 949-950 | ||
S95201A | 21 | 913-914 | S9781XA | 21 | 913-914 | S99131G | 23 | 949-950 | ||
S95201A | 24 | 963-965 | S9781XA | 24 | 963-965 | S99131K | 23 | 949-950 | ||
S95201D | 23 | 949-950 | S9781XD | 23 | 949-950 | S99131P | 23 | 949-950 | ||
S95201S | 05 | 299-301 | S9781XS | 09 | 604-605 | S99131S | 21 | 913-914 | ||
S95202A | 21 | 913-914 | S9782XA | 21 | 913-914 | S99132A | 21 | 913-914 | ||
S95202A | 24 | 963-965 | S9782XA | 24 | 963-965 | S99132A | 24 | 963-965 | ||
S95202D | 23 | 949-950 | S9782XD | 23 | 949-950 | S99132B | 21 | 913-914 | ||
S95202S | 05 | 299-301 | S9782XS | 09 | 604-605 | S99132B | 24 | 963-965 | ||
S95209A | 21 | 913-914 | S98011A | 21 | 913-914 | S99132D | 23 | 949-950 | ||
S95209A | 24 | 963-965 | S98011A | 24 | 963-965 | S99132G | 23 | 949-950 | ||
S95209D | 23 | 949-950 | S98011D | 23 | 949-950 | S99132K | 23 | 949-950 | ||
S95209S | 05 | 299-301 | S98011S | 08 | 559-561 | S99132P | 23 | 949-950 | ||
S95211A | 21 | 913-914 | S98012A | 21 | 913-914 | S99132S | 21 | 913-914 | ||
S95211A | 24 | 963-965 | S98012A | 24 | 963-965 | S99139A | 21 | 913-914 | ||
S95211D | 23 | 949-950 | S98012D | 23 | 949-950 | S99139A | 24 | 963-965 | ||
S95211S | 05 | 299-301 | S98012S | 08 | 559-561 | S99139B | 21 | 913-914 | ||
S95212A | 21 | 913-914 | S98019A | 21 | 913-914 | S99139B | 24 | 963-965 | ||
S95212A | 24 | 963-965 | S98019A | 24 | 963-965 | S99139D | 23 | 949-950 | ||
S95212D | 23 | 949-950 | S98019D | 23 | 949-950 | S99139G | 23 | 949-950 | ||
S95212S | 05 | 299-301 | S98019S | 08 | 559-561 | S99139K | 23 | 949-950 | ||
S95219A | 21 | 913-914 | S98021A | 21 | 913-914 | S99139P | 23 | 949-950 | ||
S95219A | 24 | 963-965 | S98021A | 24 | 963-965 | S99139S | 21 | 913-914 | ||
S95219D | 23 | 949-950 | S98021D | 23 | 949-950 | S99141A | 21 | 913-914 | ||
S95219S | 05 | 299-301 | S98021S | 08 | 559-561 | S99141A | 24 | 963-965 | ||
S95291A | 21 | 913-914 | S98022A | 21 | 913-914 | S99141B | 21 | 913-914 | ||
S95291A | 24 | 963-965 | S98022A | 24 | 963-965 | S99141B | 24 | 963-965 | ||
S95291D | 23 | 949-950 | S98022D | 23 | 949-950 | S99141D | 23 | 949-950 | ||
S95291S | 05 | 299-301 | S98022S | 08 | 559-561 | S99141G | 23 | 949-950 | ||
S95292A | 21 | 913-914 | S98029A | 21 | 913-914 | S99141K | 23 | 949-950 | ||
S95292A | 24 | 963-965 | S98029A | 24 | 963-965 | S99141P | 23 | 949-950 | ||
S95292D | 23 | 949-950 | S98029D | 23 | 949-950 | S99141S | 21 | 913-914 | ||
S95292S | 05 | 299-301 | S98029S | 08 | 559-561 | S99142A | 21 | 913-914 | ||
S95299A | 21 | 913-914 | S98111A | 21 | 913-914 | S99142A | 24 | 963-965 | ||
S95299A | 24 | 963-965 | S98111A | 24 | 963-965 | S99142B | 21 | 913-914 | ||
S95299D | 23 | 949-950 | S98111D | 23 | 949-950 | S99142B | 24 | 963-965 | ||
S95299S | 05 | 299-301 | S98111S | 08 | 559-561 | S99142D | 23 | 949-950 | ||
S95801A | 21 | 913-914 | S98112A | 21 | 913-914 | S99142G | 23 | 949-950 | ||
S95801A | 24 | 963-965 | S98112A | 24 | 963-965 | S99142K | 23 | 949-950 | ||
S95801D | 23 | 949-950 | S98112D | 23 | 949-950 | S99142P | 23 | 949-950 | ||
S95801S | 05 | 299-301 | S98112S | 08 | 559-561 | S99142S | 21 | 913-914 | ||
S95802A | 21 | 913-914 | S98119A | 21 | 913-914 | S99149A | 21 | 913-914 | ||
S95802A | 24 | 963-965 | S98119A | 24 | 963-965 | S99149A | 24 | 963-965 | ||
S95802D | 23 | 949-950 | S98119D | 23 | 949-950 | S99149B | 21 | 913-914 | ||
S95802S | 05 | 299-301 | S98119S | 08 | 559-561 | S99149B | 24 | 963-965 | ||
S95809A | 21 | 913-914 | S98121A | 21 | 913-914 | S99149D | 23 | 949-950 | ||
S95809A | 24 | 963-965 | S98121A | 24 | 963-965 | S99149G | 23 | 949-950 | ||
S95809D | 23 | 949-950 | S98121D | 23 | 949-950 | S99149K | 23 | 949-950 | ||
S95809S | 05 | 299-301 | S98121S | 08 | 559-561 | S99149P | 23 | 949-950 | ||
S95811A | 21 | 913-914 | S98122A | 21 | 913-914 | S99149S | 21 | 913-914 | ||
S95811A | 24 | 963-965 | S98122A | 24 | 963-965 | S99191A | 21 | 913-914 | ||
S95811D | 23 | 949-950 | S98122D | 23 | 949-950 | S99191A | 24 | 963-965 | ||
S95811S | 05 | 299-301 | S98122S | 08 | 559-561 | S99191B | 21 | 913-914 | ||
S95812A | 21 | 913-914 | S98129A | 21 | 913-914 | S99191B | 24 | 963-965 | ||
S95812A | 24 | 963-965 | S98129A | 24 | 963-965 | S99191D | 23 | 949-950 | ||
S95812D | 23 | 949-950 | S98129D | 23 | 949-950 | S99191G | 23 | 949-950 | ||
S95812S | 05 | 299-301 | S98129S | 08 | 559-561 | S99191K | 23 | 949-950 | ||
S95819A | 21 | 913-914 | S98131A | 21 | 913-914 | S99191P | 23 | 949-950 | ||
S95819A | 24 | 963-965 | S98131A | 24 | 963-965 | S99191S | 21 | 913-914 | ||
S95819D | 23 | 949-950 | S98131D | 23 | 949-950 | S99192A | 21 | 913-914 | ||
S95819S | 05 | 299-301 | S98131S | 08 | 559-561 | S99192A | 24 | 963-965 | ||
S95891A | 21 | 913-914 | S98132A | 21 | 913-914 | S99192B | 21 | 913-914 | ||
S95891A | 24 | 963-965 | S98132A | 24 | 963-965 | S99192B | 24 | 963-965 | ||
S95891D | 23 | 949-950 | S98132D | 23 | 949-950 | S99192D | 23 | 949-950 | ||
S95891S | 05 | 299-301 | S98132S | 08 | 559-561 | S99192G | 23 | 949-950 | ||
S95892A | 21 | 913-914 | S98139A | 21 | 913-914 | S99192K | 23 | 949-950 | ||
S95892A | 24 | 963-965 | S98139A | 24 | 963-965 | S99192P | 23 | 949-950 | ||
S95892D | 23 | 949-950 | S98139D | 23 | 949-950 | S99192S | 21 | 913-914 | ||
S95892S | 05 | 299-301 | S98139S | 08 | 559-561 | S99199A | 21 | 913-914 | ||
S95899A | 21 | 913-914 | S98141A | 21 | 913-914 | S99199A | 24 | 963-965 | ||
S95899A | 24 | 963-965 | S98141A | 24 | 963-965 | S99199B | 21 | 913-914 | ||
S95899D | 23 | 949-950 | S98141D | 23 | 949-950 | S99199B | 24 | 963-965 | ||
S95899S | 05 | 299-301 | S98141S | 08 | 559-561 | S99199D | 23 | 949-950 | ||
S95901A | 21 | 913-914 | S98142A | 21 | 913-914 | S99199G | 23 | 949-950 | ||
S95901A | 24 | 963-965 | S98142A | 24 | 963-965 | S99199K | 23 | 949-950 | ||
S95901D | 23 | 949-950 | S98142D | 23 | 949-950 | S99199P | 23 | 949-950 | ||
S95901S | 05 | 299-301 | S98142S | 08 | 559-561 | S99199S | 21 | 913-914 | ||
S95902A | 21 | 913-914 | S98149A | 21 | 913-914 | S99201A | 21 | 913-914 | ||
S95902A | 24 | 963-965 | S98149A | 24 | 963-965 | S99201A | 24 | 963-965 | ||
S95902D | 23 | 949-950 | S98149D | 23 | 949-950 | S99201B | 21 | 913-914 | ||
S95902S | 05 | 299-301 | S98149S | 08 | 559-561 | S99201B | 24 | 963-965 | ||
S95909A | 21 | 913-914 | S98211A | 21 | 913-914 | S99201D | 23 | 949-950 | ||
S95909A | 24 | 963-965 | S98211A | 24 | 963-965 | S99201G | 23 | 949-950 | ||
S95909D | 23 | 949-950 | S98211D | 23 | 949-950 | S99201K | 23 | 949-950 | ||
S95909S | 05 | 299-301 | S98211S | 08 | 559-561 | S99201P | 23 | 949-950 | ||
S95911A | 21 | 913-914 | S98212A | 21 | 913-914 | S99201S | 21 | 913-914 | ||
S95911A | 24 | 963-965 | S98212A | 24 | 963-965 | S99202A | 21 | 913-914 | ||
S95911D | 23 | 949-950 | S98212D | 23 | 949-950 | S99202A | 24 | 963-965 | ||
S95911S | 05 | 299-301 | S98212S | 08 | 559-561 | S99202B | 21 | 913-914 | ||
S95912A | 21 | 913-914 | S98219A | 21 | 913-914 | S99202B | 24 | 963-965 | ||
S95912A | 24 | 963-965 | S98219A | 24 | 963-965 | S99202D | 23 | 949-950 | ||
S95912D | 23 | 949-950 | S98219D | 23 | 949-950 | S99202G | 23 | 949-950 | ||
S95912S | 05 | 299-301 | S98219S | 08 | 559-561 | S99202K | 23 | 949-950 | ||
S95919A | 21 | 913-914 | S98221A | 21 | 913-914 | S99202P | 23 | 949-950 | ||
S95919A | 24 | 963-965 | S98221A | 24 | 963-965 | S99202S | 21 | 913-914 | ||
S95919D | 23 | 949-950 | S98221D | 23 | 949-950 | S99209A | 21 | 913-914 | ||
S95919S | 05 | 299-301 | S98221S | 08 | 559-561 | S99209A | 24 | 963-965 | ||
S95991A | 21 | 913-914 | S98222A | 21 | 913-914 | S99209B | 21 | 913-914 | ||
S95991A | 24 | 963-965 | S98222A | 24 | 963-965 | S99209B | 24 | 963-965 | ||
S95991D | 23 | 949-950 | S98222D | 23 | 949-950 | S99209D | 23 | 949-950 | ||
S95991S | 05 | 299-301 | S98222S | 08 | 559-561 | S99209G | 23 | 949-950 | ||
S95992A | 21 | 913-914 | S98229A | 21 | 913-914 | S99209K | 23 | 949-950 | ||
S95992A | 24 | 963-965 | S98229A | 24 | 963-965 | S99209P | 23 | 949-950 | ||
S95992D | 23 | 949-950 | S98229D | 23 | 949-950 | S99209S | 21 | 913-914 | ||
S95992S | 05 | 299-301 | S98229S | 08 | 559-561 | S99211A | 21 | 913-914 | ||
S95999A | 21 | 913-914 | S98311A | 21 | 913-914 | S99211A | 24 | 963-965 | ||
S95999A | 24 | 963-965 | S98311A | 24 | 963-965 | S99211B | 21 | 913-914 | ||
S95999D | 23 | 949-950 | S98311D | 23 | 949-950 | S99211B | 24 | 963-965 | ||
S95999S | 05 | 299-301 | S98311S | 08 | 559-561 | S99211D | 23 | 949-950 | ||
S96001A | 21 | 913-914 | S98312A | 21 | 913-914 | S99211G | 23 | 949-950 | ||
S96001A | 24 | 963-965 | S98312A | 24 | 963-965 | S99211K | 23 | 949-950 | ||
S96001D | 23 | 949-950 | S98312D | 23 | 949-950 | S99211P | 23 | 949-950 | ||
S96001S | 21 | 913-914 | S98312S | 08 | 559-561 | S99211S | 21 | 913-914 | ||
S96002A | 21 | 913-914 | S98319A | 21 | 913-914 | S99212A | 21 | 913-914 | ||
S96002A | 24 | 963-965 | S98319A | 24 | 963-965 | S99212A | 24 | 963-965 | ||
S96002D | 23 | 949-950 | S98319D | 23 | 949-950 | S99212B | 21 | 913-914 | ||
S96002S | 21 | 913-914 | S98319S | 08 | 559-561 | S99212B | 24 | 963-965 | ||
S96009A | 21 | 913-914 | S98321A | 21 | 913-914 | S99212D | 23 | 949-950 | ||
S96009A | 24 | 963-965 | S98321A | 24 | 963-965 | S99212G | 23 | 949-950 | ||
S96009D | 23 | 949-950 | S98321D | 23 | 949-950 | S99212K | 23 | 949-950 | ||
S96009S | 21 | 913-914 | S98321S | 08 | 559-561 | S99212P | 23 | 949-950 | ||
S96011A | 08 | 562-563 | S98322A | 21 | 913-914 | S99212S | 21 | 913-914 | ||
S96011A | 24 | 963-965 | S98322A | 24 | 963-965 | S99219A | 21 | 913-914 | ||
S96011D | 23 | 949-950 | S98322D | 23 | 949-950 | S99219A | 24 | 963-965 | ||
S96011S | 08 | 562-563 | S98322S | 08 | 559-561 | S99219B | 21 | 913-914 | ||
S96012A | 08 | 562-563 | S98329A | 21 | 913-914 | S99219B | 24 | 963-965 | ||
S96012A | 24 | 963-965 | S98329A | 24 | 963-965 | S99219D | 23 | 949-950 | ||
S96012D | 23 | 949-950 | S98329D | 23 | 949-950 | S99219G | 23 | 949-950 | ||
S96012S | 08 | 562-563 | S98329S | 08 | 559-561 | S99219K | 23 | 949-950 | ||
S96019A | 08 | 562-563 | S98911A | 21 | 913-914 | S99219P | 23 | 949-950 | ||
S96019A | 24 | 963-965 | S98911A | 24 | 963-965 | S99219S | 21 | 913-914 | ||
S96019D | 23 | 949-950 | S98911D | 23 | 949-950 | S99221A | 21 | 913-914 | ||
S96019S | 08 | 562-563 | S98911S | 08 | 559-561 | S99221A | 24 | 963-965 | ||
S96021A | 08 | 564-566 | S98912A | 21 | 913-914 | S99221B | 21 | 913-914 | ||
S96021A | 24 | 963-965 | S98912A | 24 | 963-965 | S99221B | 24 | 963-965 | ||
S96021D | 23 | 949-950 | S98912D | 23 | 949-950 | S99221D | 23 | 949-950 | ||
S96021S | 09 | 604-605 | S98912S | 08 | 559-561 | S99221G | 23 | 949-950 | ||
S96022A | 08 | 564-566 | S98919A | 21 | 913-914 | S99221K | 23 | 949-950 | ||
S96022A | 24 | 963-965 | S98919A | 24 | 963-965 | S99221P | 23 | 949-950 | ||
S96022D | 23 | 949-950 | S98919D | 23 | 949-950 | S99221S | 21 | 913-914 | ||
S96022S | 09 | 604-605 | S98919S | 08 | 559-561 | S99222A | 21 | 913-914 | ||
S96029A | 08 | 564-566 | S98921A | 21 | 913-914 | S99222A | 24 | 963-965 | ||
S96029A | 24 | 963-965 | S98921A | 24 | 963-965 | S99222B | 21 | 913-914 | ||
S96029D | 23 | 949-950 | S98921D | 23 | 949-950 | S99222B | 24 | 963-965 | ||
S96029S | 09 | 604-605 | S98921S | 08 | 559-561 | S99222D | 23 | 949-950 | ||
S96091A | 21 | 913-914 | S98922A | 21 | 913-914 | S99222G | 23 | 949-950 | ||
S96091A | 24 | 963-965 | S98922A | 24 | 963-965 | S99222K | 23 | 949-950 | ||
S96091D | 23 | 949-950 | S98922D | 23 | 949-950 | S99222P | 23 | 949-950 | ||
S96091S | 21 | 913-914 | S98922S | 08 | 559-561 | S99222S | 21 | 913-914 | ||
S96092A | 21 | 913-914 | S98929A | 21 | 913-914 | S99229A | 21 | 913-914 | ||
S96092A | 24 | 963-965 | S98929A | 24 | 963-965 | S99229A | 24 | 963-965 | ||
S96092D | 23 | 949-950 | S98929D | 23 | 949-950 | S99229B | 21 | 913-914 | ||
S96092S | 21 | 913-914 | S98929S | 08 | 559-561 | S99229B | 24 | 963-965 | ||
S96099A | 21 | 913-914 | S99001A | 21 | 913-914 | S99229D | 23 | 949-950 | ||
S96099A | 24 | 963-965 | S99001A | 24 | 963-965 | S99229G | 23 | 949-950 | ||
S96099D | 23 | 949-950 | S99001B | 21 | 913-914 | S99229K | 23 | 949-950 | ||
S96099S | 21 | 913-914 | S99001B | 24 | 963-965 | S99229P | 23 | 949-950 | ||
S96101A | 21 | 913-914 | S99001D | 23 | 949-950 | S99229S | 21 | 913-914 | ||
S96101A | 24 | 963-965 | S99001G | 23 | 949-950 | S99231A | 21 | 913-914 | ||
S96101D | 23 | 949-950 | S99001K | 23 | 949-950 | S99231A | 24 | 963-965 | ||
S96101S | 21 | 913-914 | S99001P | 23 | 949-950 | S99231B | 21 | 913-914 | ||
S96102A | 21 | 913-914 | S99001S | 21 | 913-914 | S99231B | 24 | 963-965 | ||
S96102A | 24 | 963-965 | S99002A | 21 | 913-914 | S99231D | 23 | 949-950 | ||
S96102D | 23 | 949-950 | S99002A | 24 | 963-965 | S99231G | 23 | 949-950 | ||
S96102S | 21 | 913-914 | S99002B | 21 | 913-914 | S99231K | 23 | 949-950 | ||
S96109A | 21 | 913-914 | S99002B | 24 | 963-965 | S99231P | 23 | 949-950 | ||
S96109A | 24 | 963-965 | S99002D | 23 | 949-950 | S99231S | 21 | 913-914 | ||
S96109D | 23 | 949-950 | S99002G | 23 | 949-950 | S99232A | 21 | 913-914 | ||
S96109S | 21 | 913-914 | S99002K | 23 | 949-950 | S99232A | 24 | 963-965 | ||
S96111A | 08 | 562-563 | S99002P | 23 | 949-950 | S99232B | 21 | 913-914 | ||
S96111A | 24 | 963-965 | S99002S | 21 | 913-914 | S99232B | 24 | 963-965 | ||
S96111D | 23 | 949-950 | S99009A | 21 | 913-914 | S99232D | 23 | 949-950 | ||
S96111S | 08 | 562-563 | S99009A | 24 | 963-965 | S99232G | 23 | 949-950 | ||
S96112A | 08 | 562-563 | S99009B | 21 | 913-914 | S99232K | 23 | 949-950 | ||
S96112A | 24 | 963-965 | S99009B | 24 | 963-965 | S99232P | 23 | 949-950 | ||
S96112D | 23 | 949-950 | S99009D | 23 | 949-950 | S99232S | 21 | 913-914 | ||
S96112S | 08 | 562-563 | S99009G | 23 | 949-950 | S99239A | 21 | 913-914 | ||
S96119A | 08 | 562-563 | S99009K | 23 | 949-950 | S99239A | 24 | 963-965 | ||
S96119A | 24 | 963-965 | S99009P | 23 | 949-950 | S99239B | 21 | 913-914 | ||
S96119D | 23 | 949-950 | S99009S | 21 | 913-914 | S99239B | 24 | 963-965 | ||
S96119S | 08 | 562-563 | S99011A | 21 | 913-914 | S99239D | 23 | 949-950 | ||
S96121A | 08 | 564-566 | S99011A | 24 | 963-965 | S99239G | 23 | 949-950 | ||
S96121A | 24 | 963-965 | S99011B | 21 | 913-914 | S99239K | 23 | 949-950 | ||
S96121D | 23 | 949-950 | S99011B | 24 | 963-965 | S99239P | 23 | 949-950 | ||
S96121S | 09 | 604-605 | S99011D | 23 | 949-950 | S99239S | 21 | 913-914 | ||
S96122A | 08 | 564-566 | S99011G | 23 | 949-950 | S99241A | 21 | 913-914 | ||
S96122A | 24 | 963-965 | S99011K | 23 | 949-950 | S99241A | 24 | 963-965 | ||
S96122D | 23 | 949-950 | S99011P | 23 | 949-950 | S99241B | 21 | 913-914 | ||
S96122S | 09 | 604-605 | S99011S | 21 | 913-914 | S99241B | 24 | 963-965 | ||
S96129A | 08 | 564-566 | S99012A | 21 | 913-914 | S99241D | 23 | 949-950 | ||
S96129A | 24 | 963-965 | S99012A | 24 | 963-965 | S99241G | 23 | 949-950 | ||
S96129D | 23 | 949-950 | S99012B | 21 | 913-914 | S99241K | 23 | 949-950 | ||
S96129S | 09 | 604-605 | S99012B | 24 | 963-965 | S99241P | 23 | 949-950 | ||
S96191A | 21 | 913-914 | S99012D | 23 | 949-950 | S99241S | 21 | 913-914 | ||
S96191A | 24 | 963-965 | S99012G | 23 | 949-950 | S99242A | 21 | 913-914 | ||
S96191D | 23 | 949-950 | S99012K | 23 | 949-950 | S99242A | 24 | 963-965 | ||
S96191S | 21 | 913-914 | S99012P | 23 | 949-950 | S99242B | 21 | 913-914 | ||
S96192A | 21 | 913-914 | S99012S | 21 | 913-914 | S99242B | 24 | 963-965 | ||
S96192A | 24 | 963-965 | S99019A | 21 | 913-914 | S99242D | 23 | 949-950 | ||
S96192D | 23 | 949-950 | S99019A | 24 | 963-965 | S99242G | 23 | 949-950 | ||
S96192S | 21 | 913-914 | S99019B | 21 | 913-914 | S99242K | 23 | 949-950 | ||
S96199A | 21 | 913-914 | S99019B | 24 | 963-965 | S99242P | 23 | 949-950 | ||
S96199A | 24 | 963-965 | S99019D | 23 | 949-950 | S99242S | 21 | 913-914 | ||
S96199D | 23 | 949-950 | S99019G | 23 | 949-950 | S99249A | 21 | 913-914 | ||
S99249A | 24 | 963-965 |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2024 10:29:37 CMS, code-revision=359, description-revision=1383 |